扩大免疫接种投资的社会经济和财政回报:哥伦比亚终生免疫接种案例

Jose Alejandro Soto-Moreno, Martha Coe, Cintia Parellada, Anupama Tantri, Maria Clara Angarita-Contreras, Paula Acosta
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引用次数: 0

摘要

尽管免疫接种对健康、社会和经济都有益处,但许多国家主要关注的是儿童免疫接种,缺乏健全的免疫接种政策和充足的免疫接种资源,从而使整个生命过程中的人群都能受益。虽然儿童接种疫苗的益处有据可查,但有关投资的经济和社会回报的证据却很有限,而决策者可以利用这些证据为实施终生免疫计划提供决策依据。我们从社会角度开发了一个成本效益模型,以评估将 5 种疫苗纳入哥伦比亚国家免疫计划的整个生命过程。该模型估计,在最初的 20 年中,每投资 1.0 美元可获得 1.3 美元的回报,60 年后将增至 3.9 美元。主要收益是生产率的提高,其次是财政节余和家庭避免的医疗支出。此外,根据预测,在终身免疫计划下,弱势家庭获得的收入保护是正式就业家庭的 3.2 倍。因此,通过增加所有年龄段的免疫接种机会,有可能减少哥伦比亚的收入不平等和贫困率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Socioeconomic and fiscal returns of expanded investment in immunization: a case for life-course vaccination in Colombia
Despite the health, societal, and economic benefits of immunization, many countries focus primarily on childhood immunizations and lack robust policies and sufficient resources for immunizations that can benefit populations across the life course. While the benefits of childhood vaccination are well documented, there is limited evidence on the financial and social return on investment that policymakers can use to inform decisions around administering a life-course immunization program. We developed a cost-benefit model from a societal perspective to evaluate the inclusion of 5 vaccines across the life course in Colombia's national immunization program. This model estimated a return of US$1.3 per US$1.0 invested in the first 2 decades, increasing to US$3.9 after 60 years. Primary benefits were productivity gains, followed by fiscal savings and household averted expenditure on health care. Furthermore, vulnerable households are predicted to receive 3.2 times greater income protection than formally employed households under a life-course immunization program. Consequently, there is a potential to reduce Colombia's income inequality and poverty rate by increasing access to immunization for all ages.
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